NEW JERSEY STATE COUNCIL
VIETNAM VETERANS OF AMERICA, INC.
Post Office Box 1229
Bayonne, New Jersey  07002-6229
Phone: 908-638-6010   Fax: 908-638-8443

License Plate Request Form

DEAR MEMBER OR PROSPECTIVE MEMBER,

In order to place an order for VVA organizational plates, you MUST BE a Life Member of Vietnam Veterans of America. You cannot be participating in the time payment program for a life membership, the life membership MUST BE PAID IN FULL, according to the VVA National Office. If your payment is received after the 15th of the month, this will delay issuance of your plates by the NJ Motor Vehicle Commission for at least six (6) weeks.

To expedite your license plates order with the NJ Division of Motor Vehicles for the VVA organizational plates, please complete the form below and follow the directions on the NJ Division of Motor Vehicles form. Special attention should be paid to the questions on the State form.

If Motor Vehicle has sent you a renewal form for the vehicle on which the VVA organizational plates are to be displayed, you MUST FIRST renew that current registration form before you return this form to us for the VVA organizational plates.

Personal vehicles only, no motorcycles or commercial vehicles.

Send $25. check payable to VVANJSC, plus a copy of your current vehicle registration and a copy of your life membership card to:

Dennis Beauregard

VVA LICENSE PLATE COMMITTEE

831 Andover Street

Red Bank, NJ 07701-5744

NAME:____________________________________________________________________________

ADDRESS:_________________________________________________________________________

CITY, STATE,ZIP CODE:____________________________________________________________

PHONE NUMBER:_______________________________ CHAPTER NUMBER:_______________

LIFE MEMBERSHIP NUMBER:______________________________________________________

OFFICE USE ONLY-DO NOT FILL IN

LICENSE PLATE #: VV__________

NUMBER OF PLATES:--------------------------------DATE:------------------------------------------------------